ANDREW JACOB ALEXANDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071641

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JACOB

Last Name

ALEXANDER

Business Name

ANDREW JACOB ALEXANDER MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Hematopathology

Ever Disciplined

LastModifiedDate

04/02/2018